Provider Demographics
NPI:1790596260
Name:LATHROP, CAROLINE CARSON (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:CARSON
Last Name:LATHROP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6049 RENAISSANCE PL STE J
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4730
Mailing Address - Country:US
Mailing Address - Phone:419-265-8097
Mailing Address - Fax:
Practice Address - Street 1:6049 RENAISSANCE PL STE J
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4730
Practice Address - Country:US
Practice Address - Phone:419-265-8097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor